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General NPI Number Information
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NPI Number | 1710054788
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Entity Type | Individual
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Provider Name | FRANCES DEGREGORIO GUERREIRO O.D.
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 1720 SEPULVEDA BLVD
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City | TORRANCE
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State | CA
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Zip | 90501-5601
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Country | US
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Telephone | 310-539-4363
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Fax | 310-539-4664
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Provider Business Mailing Address
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Address Line | 2121 SPEYER LN
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City | REDONDO BEACH
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State | CA
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Zip | 90278-4917
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Country | US
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Telephone | 310-308-8356
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 10685TPL
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License Number State | CA
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